峡部甲状腺乳头状癌手术方式的研究现状

doi:10.3877/cma.j.issn.1674-0793.2023.03.014

近年来，甲状腺乳头状癌的发病率迅速上升，国内外指南对于腺叶甲状腺乳头状癌的手术方式已有较明确的说明，而峡部甲状腺乳头状癌因位置特殊且侵袭性较强，其手术切除范围在相关指南中尚未明确，仍存在争议。本综述通过检索近5年国内外相关文献，对峡部甲状腺乳头状癌的病理学特征、术前诊断和手术治疗等方面进行总结与分析，以期为临床工作提供参考。

关键词: 甲状腺乳头状癌, 甲状腺峡部扩大切除术, 甲状腺全部切除术, 峡部, 淋巴结转移

In recent years, the incidence of papillary thyroid carcinoma has been rapidly increasing, and various guidelines at home and abroad have clearly stated the surgical approach for tumors located in the lobes of the gland, while the scope of surgical resection of papillary thyroid carcinoma located in the isthmus has not been clearly defined in the relevant guidelines due to its special location and strong invasion, and there is still controversy. This article summarizes and analyzes the pathological features, preoperative diagnosis and surgical treatment of papillary thyroid carcinoma of the isthmus by searching the relevant domestic and international literature in the past 5 years, with the aim of providing reference for clinical work.

Key words: Papillary thyroid carcinoma, Enlarged thyroid isthmus resection, Total thyroidectomy, Isthmus, Lymph node metastasis

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Current status of surgical approaches for papillary thyroid carcinoma of the isthmus

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Current status of surgical approaches for papillary thyroid carcinoma of the isthmus